Publications by authors named "Nathan D Wiebracht"

Objective: Posttonsillectomy hemorrhage can be life-threatening, so we investigated whether patients are at increased risk with an inexperienced surgeon. There is scant information on how surgical experience affects outcomes in pediatric tonsillectomy. We hypothesized that supervised residents would have longer operative times but no difference in complication rates compared to attending surgeons.

View Article and Find Full Text PDF

Objective Home oximetry is commonly used to screen for obstructive sleep apnea (OSA) in children; however, normal oxygen desaturation levels by disease severity are not well known. It was our objective to determine if oxygen saturation levels differed by OSA severity category in children and if these differences were similar for preteen children and adolescents. Study Design Retrospective case series of children undergoing polysomnography from September 2011 to July 2015.

View Article and Find Full Text PDF

Objectives/hypothesis: Restrictions on resident work hours and the increasing purview of otolaryngology reduce the efficacy of the traditional surgical training model. With limited case volumes at many institutions and the unique instrumentation of endoscopic Zenker's diverticulotomy (EZD), simulation may be useful to improve training. In this study, a novel surgical simulator for EZD is developed and validated.

View Article and Find Full Text PDF

Objectives Nasal endoscopic approaches to the sphenoid sinus are challenging. Variations in septation, shape, and dimensions have a critical impact on surgical planning of the skull base. Previous anatomical studies have small numbers or a limited description of this complex structure.

View Article and Find Full Text PDF

Study Design: In vitro cadaveric study of thoracic spinal cord intramedullary pressure (IMP) in scoliotic deformity.

Objective: To define the relationship between thoracic scoliotic deformity and spinal cord IMP.

Summary Of Background Data: Clinical studies of patients with thoracic scoliosis without other spinal pathology (spinal stenosis, etc.

View Article and Find Full Text PDF

Background: Education for all physicians should include specialty-specific geriatrics-related and chronic disease-related topics.

Objective: We describe the development, implementation, and evaluation of a chronic disease/geriatric medicine curriculum designed to teach Accreditation Council for Graduate Medical Education core competencies and geriatric medicine competencies to residents by using longitudinal encounters with a standardized dementia patient and her caregiver daughter.

Intervention: Over 3 half-day sessions, the unfolding standardized patient (SP) case portrays the progressive course of dementia and simulates a 10-year longitudinal clinical experience between residents and a patient with dementia and her daughter.

View Article and Find Full Text PDF